Provider Demographics
NPI:1295022135
Name:IHS SYSTEMS, INC.
Entity Type:Organization
Organization Name:IHS SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-436-0854
Mailing Address - Street 1:667 LAKEVIEW PLAZA BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4781
Mailing Address - Country:US
Mailing Address - Phone:614-436-0854
Mailing Address - Fax:614-436-0022
Practice Address - Street 1:667 LAKEVIEW PLAZA BLVD STE D
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4781
Practice Address - Country:US
Practice Address - Phone:614-436-0854
Practice Address - Fax:614-436-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0969671Medicaid